Use of 3D visualisation of medical images for planning and intraoperative localisation of superficial brain tumours: our experience

Žele, Tilen; Matos, Boštjan; Knific, Jernej; Bajrović, Fajko F.; Prestor, Borut

doi:10.3109/02688697.2010.496876

Cited by 12 publications

(16 citation statements)

References 28 publications

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“…We explored and evaluated the reliability of a different model of intraoperative orientation by using the MRIcro image processing software, downloadable from the Internet as one of the programs currently available, free of charge, for volumetric reconstruction of MR images. 12,22 Our proposed technique relies on a detailed planning of the surgical procedure based on the individual anatomy. The planning is performed anytime before surgery and therefore does not affect the length of the operative session.…”

Section: Discussionmentioning

confidence: 99%

“…Brain edema may affect the quality of the images causing a blurred 3DR of the cortex. 10,12 In such a situation, the rendering of vascular anatomy may be exploited to find reliable landmarks in case of disarranged cortical morphology.…”

Section: Discussionmentioning

confidence: 99%

“…The anatomical similarities between the three-dimensional rendering (3DR) virtual model and the operative field are exploited to guide a safe surgical approach to the lesion. 12…”

Section: Introductionmentioning

confidence: 99%

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Frameless Nonstereotactic Image-Guided Surgery of Supratentorial Lesions: Introduction to a Safe and Inexpensive Technique

Sherkat

Callovini

Gazzeri

2014

J Neurol Surg A Cent Eur Neurosurg

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The lesions were accessed through an optimally suited craniotomy. The visual matching of the cortical surface with reconstructed 3D images of the cortex permitted a fast localization of cortical and subcortical lesions. The major limitation is the depth of a lesion deeper than 3 cm. In these cases, the use of frame-based or frameless techniques still seems safer and more advantageous. Conclusions: The shape recognition of the cortical landmarks was not biased by brain distortion because the sulci and cortical vessels almost always had a relationship to each other that was not modified by edema or cerebrospinal fluid leakage. This 3DR allows us to reconstruct a virtual anatomy in an easy, portable, and inexpensive way. In selected cases, this technique represents a valid and safe alternative to the use of costly neuronavigation tools and is potentially helpful in developing countries.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

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Frameless Nonstereotactic Image-Guided Surgery of Supratentorial Lesions: Introduction to a Safe and Inexpensive Technique

Sherkat

Callovini

Gazzeri

2014

J Neurol Surg A Cent Eur Neurosurg

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“…Surgical targets can be defined and the most suitable surgical approach to the lesion can be selected. In addition, 3D visualization can be employed intraoperatively to locate planned targets by visually matching the computer generated 3D surfaces with the intraoperative view 5. 3D visualization proves to be adequate and accurate for locating superficial brain tumours in cases where transfer of planned surgical targets to the surgical field is possible 5…”

Section: Three-dimensional (3d) Planningmentioning

confidence: 99%

New developments in surgery of malignant gliomas

Vranic¹

2011

Radiology and Oncology

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BackgroundMalignant gliomas account for a high proportion of brain tumours. With new advances in neurooncology, the recurrence-free survival of patients with malignant gliomas has been substantially prolonged. It, however, remains dependent on the thoroughness of the surgical resection. The maximal tumour resection without additional postoperative deficit is the goal of surgery on patients with malignant gliomas. In order to minimize postoperative deficit, several pre- and intraoperative techniques have been developed.ConclusionsSeveral techniques used in malignant glioma surgery have been developed, including microsurgery, neuroendoscopy, stereotactic biopsy and brachytherapy. Imaging and functional techniques allowing for safer tumour resection have a special value. Imaging techniques allow for better preoperative visualization and choice of the approach, while functional techniques help us locate eloquent regions of the brain.

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“…The vessels can serve as a reliable superficial landmark because of their correspondence with individual gyral and sulcal anatomies, as previously described by Zele and Nakajima. [ 16 27 ] Moreover, by implementing the technique for skin-and-bone removal, the surgeon can follow the superficial vessels in their entire course and, in this manner, obtain a more global picture preoperatively. Such a picture will greatly increase the surgeon's orientation during the operation through a small craniotomy window.…”

Section: Introductionmentioning

confidence: 99%

OsiriX software as a preoperative planning tool in cranial neurosurgery: A step-by-step guide for neurosurgical residents

Spiriev¹,

Nakov²,

Laleva³

et al. 2017

Surg Neurol Int

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Background:OsiriX (Pixmeo, Switzerland) is an open-source Digital Imaging and Communications in Medicine (DICOM) viewer that is gaining more and more attention in the neurosurgical community because of its user-friendly interface, powerful three-dimensional (3D) volumetric rendering capabilities, and various options for data integration. This paper presents in detail the use of OsiriX software as a preoperative planning tool in cranial neurosurgery.Methods:In January 2013, OsiriX software was introduced into our clinical practice as a preoperative planning tool. Its capabilities are being evaluated on an ongoing basis in routine elective cranial cases.Results:The program has proven to be highly effective at volumetrically representing data from radiological examinations in 3D. Among its benefits in preoperative planning are simulating the position and exact location of the lesion in 3D, tailoring the skin incision and craniotomy bone flap, enhancing the representation of normal and pathological anatomy, and aiding in planning the reconstruction of the affected area.Conclusion:OsiriX is a useful tool for preoperative planning and visualization in neurosurgery. The software greatly facilitates the surgeon's understanding of the relationship between normal and pathological anatomy and can be used as a teaching tool.

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Use of 3D visualisation of medical images for planning and intraoperative localisation of superficial brain tumours: our experience

Cited by 12 publications

References 28 publications

Frameless Nonstereotactic Image-Guided Surgery of Supratentorial Lesions: Introduction to a Safe and Inexpensive Technique

Frameless Nonstereotactic Image-Guided Surgery of Supratentorial Lesions: Introduction to a Safe and Inexpensive Technique

New developments in surgery of malignant gliomas

OsiriX software as a preoperative planning tool in cranial neurosurgery: A step-by-step guide for neurosurgical residents

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